Individual provider Active NPI

Kindril Climer, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1841759263
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
25538 Issued in TN
Practice address
9020 Overlook Blvd
Brentwood, TN 37027-3259
Phone
(865) 588-3173
NPI assigned
Mar 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 24183558 VA
Nurse Practitioner 363L00000X 25538 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 25538 TN Primary

Addresses

Primary practice location

9020 Overlook Blvd
Brentwood, TN 37027-3259

Mailing address

10434 Jackson Oaks Way
Knoxville, TN 37922-3293
Phone (865) 281-1408

Other practice location 1

10434 Jackson Oaks Way
Knoxville, TN 37922-3293
Phone (865) 281-1408 ext. 113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190820000192 TN Practitioner - Nurse Practitioner 1456689165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy Mind Counseling Services, IncGroup PAC ID 8325093081, 120 clinicians

Practice addresses (Care Compare)

9020 Overlook Blvd
Suite 130
Brentwood, TN 37027-3259
Phone (865) 500-2690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
25538TNMDNurse Practitioner
24183558VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling Services, Inc CurrentSince May 1, 2023 Accepting new patients

Locations

9020 Overlook Blvd
Ste 130
Brentwood, TN 37027
Phone (865) 219-3026

100 5th St
Ste 310
Bristol, TN 37620
Phone (423) 822-5099

10142 Parkside Dr
Ste 114
Knoxville, TN 37922

10434 Jackson Oaks Way
Knoxville, TN 37922
Phone (865) 281-1408

6305 Lonas Dr
Ste 101
Knoxville, TN 37909
Phone (865) 584-0291

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.kindrilclimer@148560.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1841759263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10434 JACKSON OAKS WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223293",
            "telephone_number": "865-281-1408",
            "fax_number": "865-244-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 OVERLOOK BLVD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273259",
            "telephone_number": "865-588-3173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10434 Jackson Oaks Way",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379223293",
            "country_code": "US",
            "telephone_number": "865-281-1408 x113",
            "fax_number": "865-244-3579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLIMER",
        "first_name": "KINDRIL",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "24183558",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "25538",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "25538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.